Third-party Payers

ASSISTANCE WITH THIRD-PARTY PAYERS

The FDA has a dedicated staff member to focus resources on third-party payers in Florida and their impact on members. Working closely with the various insurance plans, Medicaid managed-care plans, the Agency for Health Care Administration (AHCA), Department of Health, Board of Dentistry (BOD) and other state and federal agencies, the FDA Director of Third Party Payer and Professional Affairs addresses issues relating to third-party payers.

LOOKING FOR HELP? Call the FDA! We can address your concerns in the complex arena of managed care. We also can gather data on problems and create momentum for finding solutions.

MAKE THE CALL! Call with issues and concerns about:  insurance and Medicaid managed-care plan reimbursement.  contracting with commercial insurance and Medicaid managed-care plans.  filing complaints with the Office of Insurance Regulation and/or AHCA.  general third-party payer questions.

REAL PROBLEM SOLVING — AN EXAMPLE A PPO plan started to reimburse providers via an electronic credit card that charged the dentist a service fee when it was redeemed online, thus, lowering the reimbursement amount. After contacting the FDA, the dentist was told he/ she did not have to be reimbursed via credit card (or even electronically) and could notify the plan, in writing, that he/he still wanted to be paid via check.

?For additional information: Director of Third Party Payer and Professional Affairs Casey Stoutamire 800.877.9922 • 850.681.3629 • cstoutamire@floridadental.org